What happens to your muscles when you sit?

Following on from my introduction to Hypertension (High BP), in this blog I want to discuss lifestyle strategies to prevent and assist the treatment of Hypertension (High BP). Manage your Stress I know its obvious, but I thought it was worth starting with this.  The link between hypertension and stress is well documented as are the long list of things that help you cope including exercise, counselling, massage, reflexology etc.  While we are on the subject of the obvious, I would like to remind readers that High BP is associated with high salt diets, smoking and high alcohol consumption too. Optimise your Vitamin D levels Ateria stiffness (atherosclerosis) is a driving factor for hypertension.  As your blood travels from your heart, cells in the wall of your aorta, called barorecptors, sense the pressure load, and signal your nervous system to either raise or lower the pressure.  However, the stiffer your arteries are, the more insensitive your baroreceptors become, and the less efficient they become at sending the signals.  Vitamin D deficiency is, in turn, linked to stiff arteries, which is why optimising your vitamin D levels are so important. Get enough sleep In a study presented at the American Heart Association High Blood Pressure Research 2012 Scientific Sessions, researchers found a strong link between sleep quality and a type of high blood pressure known as resistant hypertension, which does not respond to typical drug-based treatments. In fact, women who had resistant hypertension were five times as likely to also have poor sleep quality. While the average length of sleep in this study was only 6.4 hours a night (and nearly half slept fewer than six hours each night), it was sleep quality, not quantity, that appeared to influence hypertension risk. While this study only found an association with women, other studies have also linked hypertension in men to a lack of deep sleep,¹ and sleeping fewer than seven hours a night has been linked to hypertension in both men and women.² Read Part 3 References ¹ Hypertension AHA August 29, 2011 ² Sleep. 2006 Aug;29(8):1009-14.

  Every year May 17th is dedicated to World Hypertension Day (WHD).  The purpose of WHD is to promote public awareness of hypertension.  In keeping with the spirit of the day, I am going to blog about Hypertension throughout May. So what is Hypertension? It is a stage of great psychological stress which causes abnormally high blood pressure.  The graphic to the left, indicates what is considered, low, normal, pre-high blood pressure and high blood pressure. We all know that if we go to the GP they check our blood pressure, but why is it so important? Firstly high blood pressure or hypertension is very common, according to the NHS it affects 1 in 4 adults in the UK.  Secondly it has no symptoms hence it is often referred to as the silent killer.   Thirdly it is the simply most significant risk factor for a range of diseases including:

1. heart disease
2. congestive heart failure
3. stroke
4. kidney disease
5. dementia

Hip pain is common problem, and it can be confusing because there are many causes.  The most common cause of Hip Pain is arthritis for which you will need to see your GP for them to advise on the best treatment option of you. Trochanteric Bursitis Trochanteric bursitis is an extremely common problem that causes inflammation of the bursa, which is a protective cusion over the outside of the hip joint.  There are two main bursa which protect the hip joint, the superficial trochanteric bursa and the deep trochanteric bursa.  The superficial trochanteric bursa lies beneath the tensor fasciae latae (one of the muscles on the side of your hip) and the deep trochanteric bursa lies beneath the the largest of your glutes (gluteus maximus) both of the these muscles insert in to the Iliotibial Band (ITB).  Reduced flexibility in your gluteus maximus, tensor fasciae latae or ITB can cause trochanteric bursitis, from too much cycling or running or from running on uneven surfaces.  Another common cause is some women is an imbalance between your abductor and adductor muscles.  Trochanteric bursitis can also be caused by clients altering their posture as a result of a previous back injury. In all these cases a deep tissue or sports massage can help.  However if the cause is walking with more weight going through the outside of your foot (excessive foot eversion) then your make need to see a podiatrist for personalized orthotics. Hip Flexors Illiopsoas the main hip flexor, shortens when we sit down, so prolonged sitting can cause contracture (anatomical shortening) which can cause either lower back or hip pain.  I have personally found this to be a common cause of hip pain which can be successfully treated with deep tissue or sports massage. If you experience lower back or hip pain when standing up from a seated position then rectus femoris which is one your largest quadriceps muscle make be tight and/or your gluteus maximus which is the other muscle which helps your stand from a seated position may be weak.  If you suspect you have weak glutes you can strengthen them with squats and lunges. Fractures Hip fractures are common in the elderly with osteoporosis.  Stress fractures of the hip are common in people who participate in high impact sports e.g. long distance running, treatment is usually to avoid the high impact sport and this is usually successfully. When should I see my GP about my hip pain?  

• Inability to walk comfortably on the affected side
• Injury that causes deformity around the joint
• Hip pain that occurs at night or while resting
• Hip pain that persists beyond a few days
• Inability to bend the hip
• Swelling of the hip or the thigh area
• Signs of an infection, including fever, redness, warmth
• Any other unusual symptoms